Individual provider Active NPI

Terri Lynn Jorstad, LMFT

  • Marriage & Family Therapist
  • Rogers, MN
National Provider Identifier
1710251459
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2222 Issued in MN
Practice address
21395 John Milless Dr. #400
Rogers, MN 55374
Phone
(763) 424-1888
Fax
(463) 424-7288
NPI assigned
Feb 27, 2012
Last updated
Oct 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2222 MN Primary

Addresses

Primary practice location

21395 John Milless Dr. #400
Rogers, MN 55374

Mailing address

21395 John Milless Dr. #400
Rogers, MN 55374
Phone (763) 424-1888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241120000668 MN Practitioner - Marriage and Family Therapist 6305371956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwinds Counseling Services, P.a.Group PAC ID 0042745689, 2 clinicians

Practice addresses (Care Compare)

21395 John Milless Dr
Suite 400
Rogers, MN 55374-4407
Phone (763) 424-1888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2222MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwinds Counseling Services, P.a. Marriage & Family Therapist CurrentSince Oct 1, 2024 Accepting new patients

Locations

21395 John Milless Dr
Ste 400
Rogers, MN 55374
Phone (763) 424-1688

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1710251459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21395 JOHN MILLESS DR. #400",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "55374",
            "telephone_number": "763-424-1888",
            "fax_number": "463-424-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21395 JOHN MILLESS DR. #400",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "55374",
            "telephone_number": "763-424-1888",
            "fax_number": "463-424-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORSTAD",
        "first_name": "TERRI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-27",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, MN

Sources for this page

Verify at the official NPI Registry.